Fox Valley Dermatology Sc

NPI #1316951213 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1316951213
Entity Type: Organization
Organization Name: Fox Valley Dermatology Sc
Primary Specialty: Dermatology
Enumeration Date: Jul 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 515 S WASHBURN ST
Address 2: SUITE 204
City: Oshkosh
State: Wisconsin
ZIP Code: 54904-7975
Phone: (920) 232-1130

Authorized Official

Name: HEATHER LENZ
Title: OFFICE MANAGER
Phone: (920) 426-2211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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